gastro ./ lower gastrointestinal bleeding
Gastro-oesophageal Reflux, Factors That Determine It And Treatments
By Groshan Fabiola
Gastro-oesophageal reflux is a condition that appears if the lower oesophageal sphincter is abnormally relaxed. Because of the abnormally relaxed oesophageal sphincter, stomach's acidic contents can reflux into the gullet. This fact can also provoke heartburn, and if this happens daily, you must contact your doctor in order to receive medical care and advices.
Repeated episodes of gastro-oesophageal reflux can cause oesophagitis, which is the inflammation of the inner lining of the oesophagus. Gastro-esophageal reflux oesophagitis usually comes with symptoms like a burning or a painful sensation in the upper abdomen or chest, that sometimes radiates to the back, some patients can have breathing difficulties and suffer from hoarseness, and also excess belching can appear.
It was observed that gastro-oesophageal reflux appears especially after eating a large or fatty meal, drinking alcohol, lying down, bending over or bending and lifting. Usually, symptoms occur rarely, but there are also cases when they appear weekly, or even daily.
It is also known that smoking makes the gastro-oesophageal reflux to become much worse.
Gastro-oesophageal reflux can have a great influence in our lifestyle, the quality of our life can become lower. This disease can provoke oesophagitis if you are exposed for a long time to refluxed acid, and also, if oesophagitis lasts for a long time, it will lead to complications. There can appear a scar-tissue that contracts and a narrowing will come in the affected part of the oesophagus. Of course, this is a grave situation, the patient will have great difficulties when we wants to swallow, or he will not be able to swallow at all. He will need immediately medical care, but fortunately, this complication is rare.
The oesophageal sphincter, which is the muscular ring situated near the diaphragm, at the lower end of the oesophagus is functioning as one-way valve. It has the role to prevent stomach contents from flowing upward. When the sphincter is not working properly, stomach acid will flow into the oesophagus. It is not known the exact cause of gastro-oesophageal reflux apparition, but there are a few conditions that surely contribute to this problem.
If the patient has an overweight problem, the excessive fat in the abdominal cavity makes the pressure inside it to increase. That determines the contents of the stomach to travel up into the gullet.
Hiatus hernia is also a problem that can
lead to gastro-oesophageal reflux apparition. The oesophagus remains open because the diaphragm is not closing the lower end, and stomach acid will enter into the oesophagus.
In pregnancy, the uterus increases in size, it presses the stomach ,and the possibility of the reflux to come grows.
You should avoid tobacco, some foods like peppermint, coffee, fruit juices, chocolate and alcohol, and also you must take in consideration that lying down makes the reflux tendency to increase.
Usually, the symptoms of gastro-oesophageal reflux are obvious, so no tests are needed, but the doctor can perform some tests if he has doubts. For example, he can perform a gastroscopy, or can measure the acidity in the lower end of the oesophagus during a 24-hour period. There exists another method too, used only in complicated cases, and that is called oesophageal manometry.
If you want to reduce the risk of developing reflux, you should stop smoking, drink less coffee and alcohol, avoid high-fat meals, and try to lose weight if it is necessary.
If you do not have frequent symptoms, you can treat with antacids and histamine antagonists, no medical attention being needed, but if symptoms are very unpleasant, and the heartburn is frequent, you must go to the doctor at once.The doctor will determine if there are necessary some tests, or if you need stronger medication.
Usually antacids successfully have effect in controlling the symptoms, but if antacid medication fails, the doctor will prescribe medicines called histamine H2 antagonists, and next , if it is needed, proton pump inhibitors. There exist also a small number of cases that require laparoscopical procedure, where the oesophageal sphincter is strengthened. Article Source: http://www.articlemap.com For more resources about acid reflux or especially about acid reflux treatment please click this link www.acid-reflux-info-guide.com/acid-reflux-treatment.htm
Is it too early to call Google and Microsoft an email cartel?
In the past week,
we've learned through multiple trips to the pharmacy that two of Bunny's medications have been discontinued and alternatives have to be found.
And then it was phone tag and several lost emails to her doctor before she got replacement prescriptions.
And it's those lost emails that are very annoying.
It turns out that the doctor's office uses Microsoft Lookout for handling all their email.
I run my own email server.
I've sent email to that doctor before,
but that was maybe last year.
This year,
I guess Microsoft has decided to just simply drop emails from my server without any notification what so ever.
Sigh.
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I guess this falls into the ?hate the game, not the player? territory
I came across this video
(untitled)
which is a protest against LLM-generated videos on Youtube
(with a title that is pure link bait and not in any way true).
I do wonder how effective this form of LLM protest will be on Youtube,
as so far,
this seems to be the only one of its type that I've come across.
I wish them luck,
but I'm not too optimistic about this.
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There's a more interesting story in ?Star Wars: The Phantom Menance? than we ever got to see
The Star Wars prequel trilogy was more political than the original series.
I mean,
?Star Wars: The Phantom Menance? started the film with a blockade and trade negotiations.
And I felt that the plot was more sophisticated than the original series,
as the main protagonist,
Senator Palpatine/Darth Sidious,
arranged events to come out on top no matter what happened:
By convincing the Trade Federation to blockade Naboo, his own homeworld, and
coerce Queen Amidala to sign a treaty legitimizing the Federation
occupation, he has already won the day and now must keep up appearances with
the Trade Federation so they don't rat him out. Having the Federation
attack the Jedi, symbols of the Republic's power, he only strengthened his
position. No matter what, all roads led to Valorum's removal, and the path
forward for his ascendancy to the Chancellorship out of sympathy for his
planet's plight was clear.
- Should Queen Amidala sign the treaty, Palpatine can lobby against this action in the Senate for Valorum's removal due to allowing this to take place.
- Should Queen Amidala escape into exile or be killed, Palpatine has himself a martyr to use for this same lobby. Should the Jedi be killed, the Republic would be forced to acknowledge the under-the-table actions Valorum had taken to try and avert this without taking a stand.
- With Queen Amidala's successful escape, she fell right into his lap for him to demonstrate the corruption of the Republic firsthand, manipulating her into calling for Valorum's removal, with public support on her side due to their plight.
XanatosGambit / Live-Action Films - TV Tropes
But the fact that Senator Palpatine is a Sith Lord is beside the point?it's the politics of the Republic that lead to this.
And in the two hour video ?I read all the Star Wars books, and now I understand the prequels,?
Timothy Hickson does a deep dive into history of the Republic and how it ended up where two Sith Lords were able to basically take over the galaxy
(?Kevin??the name of the galaxy is Kevin)
without having to really use The Force at all.
He also goes into how the Jedi Knights are basically the Republic's CIA
(not so much in the ?intelligence gathering? aspect and more in the ?secret wet works to get the Republic's way? aspect).
Any parallels with our current time is,
I suspect,
purely unintentional.
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Notatoy
Bunny received a flyer in the postal mail claiming she could win ?$15,000 Cash or Choose Your Cruise?Spain, Italy, Greece, and More!?
There were just three simple steps to claim the prize:
- Pull the tab of the attached VIN Gauge Combination Box? and your 5-digit number will light up.
- Scratch off the circle below. If the two numbers match, you are one of our GRAND PRIZE WINNERS.
- Immediately call the phone number below to find out which of the five prizes you won (see the prize list below).
First off,
I'm assuming that VIN stands for ?Very Important Number? and not ?Vulvar Intraepithelial Neoplasia.?
Second,
why is it a ?VIN Gauge Combination Box???
What does ?gauge? have to do with it?
It's not referncing a distance, quantity, capacity or dimention,
just a number.
But whatever.
The prizes themselves are nothing to write about,
being a bit vague with ?worldwide destinations?
(Kandongjang-ni, North Korea is a ?worldwide destination?)
and ?getaway in major U.S. cities?
(Scranton, Pennsylvania is a ?major U.S. city?),
but the VIN Gauge Combination Box??
That is fascinating!
The VIN Gauge Combination Box? is a 2?×1?×¼?
(50mm×25mm×6mm for the U.S. Imperial impaired)
plastic box with the text ?Combination Box?? painted on.
Just below the text is what looks like a LCD screen.
There's a small plastic tab sticking out the side,
with the text ?PULL TAB TO ACTIVATE? printed on it.
Pulling the tab lights the LCD screen with a five digit number lit up.
The tab was just keeping the battery from making contact with the circuitry.
Now,
looking at the LCD screen it seems a bit off.
The numbers aren't aligned with the edge,
the left side is slightly higher than the right,
and the center number is a bit brighter than the rest,
with the light kind of dimming the further from the center of the display you get.
Looking closer,
it doesn't even look like an LCD screen.
It's more of an LED screen,
black background with green LEDs,
but the screen itself looks weird.
I push the tab back in to turn it off,
and ? wait a second!
The battery is disconnected as the light turned off,
but I can still see the number!
It's just green printed text on a black background.
The battery is just there to power a backlight!
The ?tab? itself is long enough to not only block the battery,
but to cover the ?LED display? itself.
Taking it apart,
it's just eight pieces:
- the plastic strip making up the ?tab? which breaks the circuit;
- the top half of the box;
- on the underside of the top half, a metal piece to bridge?
- an LR41 button battery (the thing is tiny!) and
- a second LR41 button battery;
- a green LED;
- a plastic piece with the green text ?63371? (my ?number?) on a black background.
- the bottom half of the box;
And that's it.
It's so cheap they didn't even bother removing the flashing from the plastic mold.
I would not be surprised of everyone that received this in the mail got the same number as I did.
The most amusing bit though,
is the injected text on the back of the device: ?THIS DIGIAL ELECTRONIC DEVICE IS NOTATOY.?
It lists the patent number
(a patent number!
Someone patented this thing?)
And of course,
it was made in China.
So the ?VIN Gauge Combination Box? is,
in fact,
a notatoy.
How about that?
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Yet more noise on emails from other Sean Conners on the Intarwebs
It appears that someone is wrong on the Internet,
and if Hacker News is anything to go by,
that person is me!
Or rather,
it might Justin Prime who wrote that Stack Exchange post
about Gmail's possibly buggy support for periods in the local part of an email address.
But one thing not brought up in the Hacker News thread is that Gmail supports custom domains.
So if some other Sean Conner were to have Gmail support email for example.org,
then I would expect seanconner@example.org
(our hypothetical Sean Conner who is not me)
to be distinct from seanconner@gmail.com
(which is me).
And now I have to wonder if this might be a cause for some of the issues being reported?
Google is a Leviathan system with millions of moving parts where a slight mishap
(like a timeout or some lost packets on a database lookup or even a bug on a system not yet updated)
causes email being delivered to seanconner@example.org to end up being delivered to seanconner@gmail.com.
I'm just trying to figure out what is more likely via Occam's razor,
that a large, distributed system like Google has the occational hiccup,
or a surprisingly large number of people forget their email addresses,
especially given how important email addresses are for account recovery,
password resets,
and the like?
I mean,
it could be both.
I'm just wondering what causes the larger number of incidents now that I'm seeing I not alone in all this.
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Did I inadvertently unlock someone else's car doors?
I went out to get Bunny and myself some lunch,
and as I was leaving,
I used my fob to pop open the trunk to store the food for the trip home and
I noticed that a car near my own honked briefly and flash its headlights.
Odd, I thought.
I then used my fob to unlock the car,
and again,
the nearby car honked briefly and flashed its headlights.
I then used my fob to lock my car,
but this time,
the nearby car sat silent.
I unlocked my car again,
and again,
the nearby car honked and flashed its lights.
I know that fobs have a decent range on them but I always thought the data sent was unique per fob.
Maybe not?
And then there's the fact that fobs can help criminals steal cars!
That's more surprising.
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